loading…
loading…
(a) The department shall periodically assess compliance with the community engagement requirement in labor market areas, within the state, to assess whether mitigation strategies are needed so that the community engagement requirement is not unreasonably burdensome.
(b) The department shall examine the following:
(1) Areas that experience high rates of unemployment;
(2) Areas with limited economies and educational opportunities; and
(3) Areas with a lack of public transportation.
(c) The department shall provide information and assistance to beneficiaries, including oral and written explanations, regarding community engagement activities, exemptions from participation in the community engagement requirement, good cause exemptions, appeal rights, suspension, disenrollment, and termination, and the opportunity to cure to facilitate beneficiaries’ compliance with the program’s community engagement requirement, and any other information related to the community engagement requirement and this part.
(d) The department shall develop an eligibility and enrollment monitoring plan that includes metrics, timetables, and programmatic content to ensure processes are in place.
(e) The plan shall include the collection and analysis of data for the following data points:
(1) The number and percentage of beneficiaries who have requested exemption from the community engagement requirement;
(2) The number and percentage of beneficiaries who have been granted an exemption from the community engagement requirement;
(3) The number and percentage of community engagement good cause requested;
(4) The number and percentage of beneficiaries granted good cause from the community engagement requirement;
(5) The number and percentage of beneficiaries whose eligibility was terminated at redetermination for not meeting the community engagement requirement;
(6) The number and percentage of community engagement appeal requests; and
(7) The number and percentage of beneficiaries whose eligibility was suspended for failing to comply with the community engagement requirement.
Source. #12733, INTERIM, eff 2-23-19, EXPIRES: 8-22-19; ss by #12796, eff 6-5-19 (formerly He-W 837.19)
PARTS He-W 838 through He-W 840 – RESERVED
PART He-W 841 MEDICAID FOR EMPLOYED ADULTS AND OLDER ADULTS WITH DISABILITIES